Abstract
Percutaneous transluminal angioplasty (PTA) has proved to be one of the most important therapeutic methods for atherosclerotic occlusive diseases. Although most arterial lesions can be treated successfully by PTA, there are difficulties and complications which cannot be safely predicted. Acute occlusion and restenosis are the most common reasons why PTA may fail to provide long-term benefits, this being caused by remaining elastic arterial tissue or by other mechanical factors in the environment of the diseased artery. This entity can often be observed in the femoropopliteal area or in atherosclerotic ostial renal artery stenosis [18]. Several months after PTA of coronary arteries recurrent stenoses occur in over 30% of the cases due to intimal hyperplasia [8]. Similar difficulties are seen at the anastomotic site of surgical bypasses, or after surgical endarterectomy [2, 9, 22]. Furthermore, arteriitis and arterial neurofibromatosis do not respond well to PTA and demand a repeat investigation [19].
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Strecker, E.P. et al. (1989). Flexible, Percutaneously Insertable, Balloon-Expandable Arterial Prosthesis. In: Zeitler, E., Seyferth, W. (eds) Pros and Cons in PTA and Auxiliary Methods. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-73736-7_22
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DOI: https://doi.org/10.1007/978-3-642-73736-7_22
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